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Organization

SPRINGFIELD OB/GYN GROUP LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DIANNE R LUSINGER (OFFICE MANAGER)
(815) 729-0330
Entity
Organization

Contact information

Practice address
301 SPRINGFIELD AVE, JOLIET, IL 60435-6590
(815) 729-0330
(815) 729-0566
Mailing address
301 SPRINGFIELD AVE, JOLIET, IL 60435-6590
(815) 729-0330
(815) 729-0566

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09908558
BCBS
IL
01
1922161827
INDIVIDUAL NPI
IL
Enumeration date
11/06/2007
Last updated
03/27/2025
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